Marina Rosenthal, PhD, LP
Psychologist, Clinical in Saint Paul, MN. Individual provider (NPI-1).
NPI number1124408570
StatusActive
Last updated in NPPESOct 6, 2021
Details
- NPI
- 1124408570
- Entity type
- Individual (NPI-1)
- Name
- Marina Rosenthal
- Credential
- PhD, LP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 1, 2015
- Certification date
- Oct 6, 2021
- Last updated
- Oct 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 6460 | MN | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
2136 Ford Pkwy # 8147Saint Paul, MN 55116-1863
Phone 612-712-4987
Mailing address
6040 Oakland AveMinneapolis, MN 55417-3118
Phone 831-239-6916
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